<!DOCTYPE html>



  


<html class="theme-next pisces use-motion" lang="zh-Hans">
<head>
  <meta charset="UTF-8"/>
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"/>
<meta name="theme-color" content="#222">


<meta name="google-site-verification" content="E9deYnivN5MuHMuIfiMZZfS0alv-d_0UjcwjBL79lGU" />



<meta name="baidu-site-verification" content="iHYWJxscwD" />










<meta http-equiv="Cache-Control" content="no-transform" />
<meta http-equiv="Cache-Control" content="no-siteapp" />



  <meta name="google-site-verification" content="true" />








  <meta name="baidu-site-verification" content="true" />







  
  
  <link href="/lib/fancybox/source/jquery.fancybox.css?v=2.1.5" rel="stylesheet" type="text/css" />







<link href="/lib/font-awesome/css/font-awesome.min.css?v=4.6.2" rel="stylesheet" type="text/css" />

<link href="/css/main.css?v=5.1.4" rel="stylesheet" type="text/css" />


  <link rel="apple-touch-icon" sizes="180x180" href="/images/apple-touch-icon-next.png?v=5.1.4">


  <link rel="icon" type="image/png" sizes="32x32" href="/images/favicon-32x32-next.png?v=5.1.4">


  <link rel="icon" type="image/png" sizes="16x16" href="/images/favicon-16x16-next.png?v=5.1.4">


  <link rel="mask-icon" href="/images/logo.svg?v=5.1.4" color="#222">





  <meta name="keywords" content="周锐,2019锐读会,笔记,网络学习,牙齿美白,诊室美白,内漂白,操作步骤,并发症," />










<meta name="description" content="直播时间：20190830第七章 诊室美白并发症的处理第一节 牙齿敏感诊室美白的敏感原因1.严格初诊筛选（龋坏，牙龈退缩、颈部缺损及敏感史）例如问诊不能用冷水刷牙，牙齿酸痛。处理，提前两周使用脱敏剂。脱水实验，敏感的，做一次8分钟。如果不敏感，做两次，每次8分钟。有隐裂的，涂粘接剂，擦去多余的，固化。楔缺，用玻璃离子做临时充填。2.光照辅助下诊室美白敏感发生率高于无光照的情况尽量别用光。3.不熟悉">
<meta property="og:type" content="article">
<meta property="og:title" content="012.2019新锐读会 课程笔记《牙齿美白技术》04">
<meta property="og:url" content="https://zwdnet.github.io/2019/08/31/012-2019%E6%96%B0%E9%94%90%E8%AF%BB%E4%BC%9A-%E8%AF%BE%E7%A8%8B%E7%AC%94%E8%AE%B0%E3%80%8A%E7%89%99%E9%BD%BF%E7%BE%8E%E7%99%BD%E6%8A%80%E6%9C%AF%E3%80%8B04/index.html">
<meta property="og:site_name" content="赵瑜敏的口腔医学专业学习博客">
<meta property="og:description" content="直播时间：20190830第七章 诊室美白并发症的处理第一节 牙齿敏感诊室美白的敏感原因1.严格初诊筛选（龋坏，牙龈退缩、颈部缺损及敏感史）例如问诊不能用冷水刷牙，牙齿酸痛。处理，提前两周使用脱敏剂。脱水实验，敏感的，做一次8分钟。如果不敏感，做两次，每次8分钟。有隐裂的，涂粘接剂，擦去多余的，固化。楔缺，用玻璃离子做临时充填。2.光照辅助下诊室美白敏感发生率高于无光照的情况尽量别用光。3.不熟悉">
<meta property="og:locale">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/01.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/02.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/03.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/04.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/05.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/06.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/07.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/08.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/09.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/10.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/11.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/12.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/13.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/14.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/15.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/16.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/17.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/18.png">
<meta property="og:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/wx.jpg">
<meta property="article:published_time" content="2019-08-31T06:13:26.000Z">
<meta property="article:modified_time" content="2020-08-30T05:52:03.000Z">
<meta property="article:author" content="赵瑜敏">
<meta property="article:tag" content="周锐">
<meta property="article:tag" content="2019锐读会">
<meta property="article:tag" content="笔记">
<meta property="article:tag" content="网络学习">
<meta property="article:tag" content="牙齿美白">
<meta property="article:tag" content="诊室美白">
<meta property="article:tag" content="内漂白">
<meta property="article:tag" content="操作步骤">
<meta property="article:tag" content="并发症">
<meta name="twitter:card" content="summary">
<meta name="twitter:image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/01.png">



<script type="text/javascript" id="hexo.configurations">
  var NexT = window.NexT || {};
  var CONFIG = {
    root: '',
    scheme: 'Pisces',
    version: '5.1.4',
    sidebar: {"position":"left","display":"post","offset":12,"b2t":false,"scrollpercent":false,"onmobile":false},
    fancybox: true,
    tabs: true,
    motion: {"enable":true,"async":false,"transition":{"post_block":"fadeIn","post_header":"slideDownIn","post_body":"slideDownIn","coll_header":"slideLeftIn","sidebar":"slideUpIn"}},
    duoshuo: {
      userId: '0',
      author: '博主'
    },
    algolia: {
      applicationID: '',
      apiKey: '',
      indexName: '',
      hits: {"per_page":10},
      labels: {"input_placeholder":"Search for Posts","hits_empty":"We didn't find any results for the search: ${query}","hits_stats":"${hits} results found in ${time} ms"}
    }
  };
</script>



  <link rel="canonical" href="https://zwdnet.github.io/2019/08/31/012-2019新锐读会-课程笔记《牙齿美白技术》04/"/>





  <title>012.2019新锐读会 课程笔记《牙齿美白技术》04 | 赵瑜敏的口腔医学专业学习博客</title>
  








<meta name="generator" content="Hexo 5.4.0"></head>

<body itemscope itemtype="http://schema.org/WebPage" lang="zh-Hans">

  
  
    
  

  <div class="container sidebar-position-left page-post-detail">
    <div class="headband"></div>

    <header id="header" class="header" itemscope itemtype="http://schema.org/WPHeader">
      <div class="header-inner"><div class="site-brand-wrapper">
  <div class="site-meta ">
    

    <div class="custom-logo-site-title">
      <a href="/"  class="brand" rel="start">
        <span class="logo-line-before"><i></i></span>
        <span class="site-title">赵瑜敏的口腔医学专业学习博客</span>
        <span class="logo-line-after"><i></i></span>
      </a>
    </div>
      
        <p class="site-subtitle"></p>
      
  </div>

  <div class="site-nav-toggle">
    <button>
      <span class="btn-bar"></span>
      <span class="btn-bar"></span>
      <span class="btn-bar"></span>
    </button>
  </div>
</div>

<nav class="site-nav">
  

  
    <ul id="menu" class="menu">
      
        
        <li class="menu-item menu-item-home">
          <a href="/%20" rel="section">
            
              <i class="menu-item-icon fa fa-fw fa-home"></i> <br />
            
            首页
          </a>
        </li>
      
        
        <li class="menu-item menu-item-tags">
          <a href="/tags/%20" rel="section">
            
              <i class="menu-item-icon fa fa-fw fa-tags"></i> <br />
            
            标签
          </a>
        </li>
      
        
        <li class="menu-item menu-item-categories">
          <a href="/categories/%20" rel="section">
            
              <i class="menu-item-icon fa fa-fw fa-th"></i> <br />
            
            分类
          </a>
        </li>
      
        
        <li class="menu-item menu-item-archives">
          <a href="/archives/%20" rel="section">
            
              <i class="menu-item-icon fa fa-fw fa-archive"></i> <br />
            
            归档
          </a>
        </li>
      

      
    </ul>
  

  
</nav>



 </div>
    </header>

    <main id="main" class="main">
      <div class="main-inner">
        <div class="content-wrap">
          <div id="content" class="content">
            

  <div id="posts" class="posts-expand">
    

  

  
  
  

  <article class="post post-type-normal" itemscope itemtype="http://schema.org/Article">
  
  
  
  <div class="post-block">
    <link itemprop="mainEntityOfPage" href="https://zwdnet.github.io/2019/08/31/012-2019%E6%96%B0%E9%94%90%E8%AF%BB%E4%BC%9A-%E8%AF%BE%E7%A8%8B%E7%AC%94%E8%AE%B0%E3%80%8A%E7%89%99%E9%BD%BF%E7%BE%8E%E7%99%BD%E6%8A%80%E6%9C%AF%E3%80%8B04/">

    <span hidden itemprop="author" itemscope itemtype="http://schema.org/Person">
      <meta itemprop="name" content="">
      <meta itemprop="description" content="">
      <meta itemprop="image" content="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/tx.jpg">
    </span>

    <span hidden itemprop="publisher" itemscope itemtype="http://schema.org/Organization">
      <meta itemprop="name" content="赵瑜敏的口腔医学专业学习博客">
    </span>

    
      <header class="post-header">

        
        
          <h1 class="post-title" itemprop="name headline">012.2019新锐读会 课程笔记《牙齿美白技术》04</h1>
        

        <div class="post-meta">
          <span class="post-time">
            
              <span class="post-meta-item-icon">
                <i class="fa fa-calendar-o"></i>
              </span>
              
                <span class="post-meta-item-text">发表于</span>
              
              <time title="创建于" itemprop="dateCreated datePublished" datetime="2019-08-31T06:13:26+00:00">
                2019-08-31
              </time>
            

            

            
          </span>

          
            <span class="post-category" >
            
              <span class="post-meta-divider">|</span>
            
              <span class="post-meta-item-icon">
                <i class="fa fa-folder-o"></i>
              </span>
              
                <span class="post-meta-item-text">分类于</span>
              
              
                <span itemprop="about" itemscope itemtype="http://schema.org/Thing">
                  <a href="/categories/2019%E9%94%90%E8%AF%BB%E4%BC%9A/" itemprop="url" rel="index">
                    <span itemprop="name">2019锐读会</span>
                  </a>
                </span>

                
                
              
            </span>
          

          
            
          

          
          

          

          
            <div class="post-wordcount">
              
                
                  <span class="post-meta-divider">|</span>
                
                <span class="post-meta-item-icon">
                  <i class="fa fa-file-word-o"></i>
                </span>
                
                  <span class="post-meta-item-text">字数统计&#58;</span>
                
                <span title="字数统计">
                  2k
                </span>
              

              
                <span class="post-meta-divider">|</span>
              

              
                <span class="post-meta-item-icon">
                  <i class="fa fa-clock-o"></i>
                </span>
                
                  <span class="post-meta-item-text">阅读时长 &asymp;</span>
                
                <span title="阅读时长">
                  7
                </span>
              
            </div>
          

          

        </div>
      </header>
    

    
    
    
    <div class="post-body" itemprop="articleBody">

      
      

      
        <p>直播时间：20190830<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/01.png"><br>第七章 诊室美白并发症的处理<br>第一节 牙齿敏感<br>诊室美白的敏感原因<br>1.严格初诊筛选（龋坏，牙龈退缩、颈部缺损及敏感史）<br>例如问诊不能用冷水刷牙，牙齿酸痛。处理，提前两周使用脱敏剂。<br>脱水实验，敏感的，做一次8分钟。如果不敏感，做两次，每次8分钟。<br>有隐裂的，涂粘接剂，擦去多余的，固化。<br>楔缺，用玻璃离子做临时充填。<br>2.光照辅助下诊室美白敏感发生率高于无光照的情况<br>尽量别用光。<br>3.不熟悉过氧化剂的浓度和操作时间。<br>过氧化脲浓度约相当于1/3的过氧化氢。<br>诊室美白敏感处理：<br>1.初诊筛选是有敏感史建议硝酸钾牙膏脱敏2周<br>2.高风险患者术前30分钟蜂拥600mg布诺芬（不要轻易用，有过敏性休克）<br>3.增加美白舒适感可在舌侧3-6%硝酸钾凝胶。<br>第二节 软组织烧伤或唇肿胀<br>软组织灼伤原因：<br>唇防护不佳<br>牙龈保护剂未封闭好<br>美白剂，棉卷清除干净再取开口器。<br>未询问患者是否使用光敏感药物。<br>软组织灼伤的解决方案：<br>使用专业护唇开口器<br>认真涂布牙龈保护剂和棉卷<br>询问患者是否使用光敏感药物和面巾纸防护<br>烧伤后立即停止美白，清除美白剂，涂布VE矿物油(还原剂)<br>第三节 白垩斑<br>白垩斑产生的原因<br>1.原牙齿白垩斑的存在<br>2.白垩斑表面矿化不佳。<br>3.孔隙大，美白快。<br>解决方案<br>1.提前告知，24h后会恢复(牙齿再水化)<br>2.术前明显白垩斑可以考虑微研磨<br>3.轻微白垩斑可以使用护牙素<br>4.不建议使用高浓度氟(＞5000ppm)<br>第九部分:死髓牙内漂白技术<br>第一章 死髓牙内漂白的定义，治疗目标及方法<br>1.定义:完成根管治疗的冠部髓腔内放入漂白剂以去除牙齿着色。<br>2.治疗目标:<br>a.减轻或完全去除牙着色<br>b.改善牙齿透明度<br>c.减轻并预防不良症状和体征<br>3.影响成功的因素:<br>a.病因<br>b.诊断是否正确和病例选择<br>c.漂白技术是否恰当<br>4.常用方法:<br>a.诊间漂白(封闭漂白)技术<br>b.热/光漂白技术(目前不用)<br>c.内外联合漂白技术<br>第二章 过氧化脲内漂白的15个步骤和过硼酸钠内漂白的11个步骤<br>过氧化氢浓度需低于7%(欧盟)<br>第一节 诊间漂白技术的起源、定义和优势<br>1.起源:上世纪60年代，不断降低过氧化氢浓度，更安全。<br>2.定义:患者多次就诊期间的漂白技术。<br>3.优势:<br>a.低浓度过氧化脲更安全<br>b.患者更加舒适<br>c.椅旁时间更短<br>d.漂白结果很好<br>第二节 过氧化脲内漂白的15个步骤<br>10%-16%的过氧化脲(国内有证)或7%以下的过氧化氢。<br>1.医患沟通<br>a.介绍牙齿变色的可能原因<br>b.治疗大概过程<br>c.可能的效果及复发的可能性。<br>2.评估根尖周状态及根管充填情况。<br>a.根尖区有病变的需要处理<br>(必须拍片)<br>b.根管充填不严密需要处理<br>确保根管封闭严密，根尖无炎症。<br>3.评估充填体的质量和颜色<br>a.告知患者漂白后更换<br>b.更换时机：漂白后2周<br>c.费用说明不在漂白范围内<br>4.比色板评估牙齿颜色<br>a.术前拍摄比色照片<br>b.书中拍摄照片<br>c.术后拍摄照片。<br>5.橡皮障隔离患牙<br>a.橡皮障严密封闭<br>b.楔子或牙线打结封闭颈部<br>c.防止渗漏<br>6.长柄球钻或G钻去除根充物到龈下<br>a.去除根充物到龈缘下方CEJ下3mm，把髓角，髓顶等去除干净<br>b.桉树油或氯仿去除管壁残余封闭剂<br>c.不必酸蚀牙本质壁（酸蚀不增加漂白效果）<br>7.制作3mm厚的屏障层<br>磷酸锌或玻璃离子，面团状，用手搓成与根管髓腔形态相似，长约3mm。CEJ外形是弧形，要按那个形状(雪橇型)回填。(作业：观察CEJ外形)<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/02.png"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/03.png"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/04.png"><br>多的，用挖匙清理。屏障冠向高度应能保护牙本质小管（与附着龈一致）<br>8.注入16%的过氧化脲<br>a.清除干净髓腔的水门汀残留<br>b.细针头注入过氧化脲。<br>c.距离髓腔开髓口2-3mm<br>9.是否可以混合过硼酸钠<br>a.混不混和效果一致。<br>b.可以产生协同效果（不安全）<br>c.不推荐使用<br>10.塑料器械或特氟龙球压实漂白药物<br>注射药物应该与患牙舌侧牙面平行。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/05.png"><br>a.清除髓角多余药物<br>b.特氟龙球压实<br>c.测量临时充填材料厚度2-3mm<br>11.封闭开髓孔<br>a.药物表层铺放一层特氟龙胶带<br>b.光固化玻璃离子水门汀1mm（流体树脂也行）<br>c.粘接后流体树脂1-2mm，与舌面窝外形尽量一致。<br>12.取下橡皮障<br>检查咬合。<br>13.2周后复诊<br>14.漂白不理想可考虑略提高浓度。<br>22%cp<br>15.评估最终颜色过漂1-2色阶。<br>第三节 过硼酸钠内漂白的11个步骤流程<br>没证。<br>因为过硼酸钠是固体，只用去除到CEJ下2mm<br>8.填入蒸馏水混合过硼酸钠<br>a.清除干净髓腔的水门汀。<br>b.过硼酸钠用水混合，呈湿雪状填入压实。<br>c.距开髓洞边缘2-3mm<br>9.封闭开髓孔<br>10.2周后复诊<br>实操<br>1.检查根管治疗是否合格，清理髓腔。直到能看到整个髓腔轮廓。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/06.png"><br>2.确定CEJ位置(X片/CBCT）。用双头探针。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/07.png"><br>3.用G钻去除牙胶，量CEJ+3。不要过度扩大根管。只是取牙胶。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/08.png"><br>4.用挖匙去除根管壁上多余牙胶，垂直加压器压实。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/09.png"><br>5.喷砂2-5s，角度60度。垂直加压器压实，或用携热器烫一下。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/10.png"><br>6.用手调的玻璃离子回填。调成面团状回填，加压。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/11.png"><br>7.有目的压唇舌侧(最好用圆头，专业器械），形成雪橇形。核实是否到理想位置。不能用流体树脂，因为固化会收缩，有间隙。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/12.png"><br>8.用酸蚀剂的头缓慢注入16%cp，保持外形与舌面窝平行。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/13.png"><br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/14.png"><br>9.剪2层生胶带膜，轻压覆盖美白剂，压边缘不要压中间。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/15.png"><br>10.注入薄层玻璃离子或流体树脂。将其无压力的放在胶带膜上，光固化。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/16.png"><br>11.酸蚀，粘接处理洞口<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/17.png"><br>12.流体树脂填满，最好与牙齿舌面外形一致。光固化。<br><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/blog0152-2019rdh/007/18.png"></p>
<p><strong>(个人总结：诊室美白的并发症，主要都是使用药物浓度/时间错误，或者牙龈封闭保护不严造成的。预防，主要是术前筛选（吹气实验），预防性脱敏，术中严密封闭，术后清除干净美白剂，棉卷等再拆开口器。发生粘膜损害，用还原剂（VE矿物油）处理。髓腔内漂白，关键是去除牙胶到CEJ下2（过硼酸钠）-3（过氧化脲）mm，做好回填封闭，美白剂及封闭材料应该与牙体舌侧外形一致。)</strong></p>
<p>我发文章的三个地方，欢迎大家在朋友圈等地方分享，欢迎点“在看”。<br>我的个人博客地址：<a href="https://zwdnet.github.io/">https://zwdnet.github.io</a><br>我的CSDN博客地址：<a target="_blank" rel="noopener" href="https://blog.csdn.net/zwdnet">https://blog.csdn.net/zwdnet</a><br>我的微信个人订阅号：赵瑜敏的口腔医学学习园地</p>
<p><img src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/wx.jpg"></p>

      
    </div>
    
    
    

    

    
      <div>
        <div style="padding: 10px 0; margin: 20px auto; width: 90%; text-align: center;">
  <div>欢迎打赏！感谢支持！</div>
  <button id="rewardButton" disable="enable" onclick="var qr = document.getElementById('QR'); if (qr.style.display === 'none') {qr.style.display='block';} else {qr.style.display='none'}">
    <span>打赏</span>
  </button>
  <div id="QR" style="display: none;">

    
      <div id="wechat" style="display: inline-block">
        <img id="wechat_qr" src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/mm_facetoface_collect_qrcode_1542944836634.png" alt=" 微信支付"/>
        <p>微信支付</p>
      </div>
    

    
      <div id="alipay" style="display: inline-block">
        <img id="alipay_qr" src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/1542944857770.jpg" alt=" 支付宝"/>
        <p>支付宝</p>
      </div>
    

    

  </div>
</div>

      </div>
    

    

    <footer class="post-footer">
      
        <div class="post-tags">
          
            <a href="/tags/%E5%91%A8%E9%94%90/" rel="tag"># 周锐</a>
          
            <a href="/tags/2019%E9%94%90%E8%AF%BB%E4%BC%9A/" rel="tag"># 2019锐读会</a>
          
            <a href="/tags/%E7%AC%94%E8%AE%B0/" rel="tag"># 笔记</a>
          
            <a href="/tags/%E7%BD%91%E7%BB%9C%E5%AD%A6%E4%B9%A0/" rel="tag"># 网络学习</a>
          
            <a href="/tags/%E7%89%99%E9%BD%BF%E7%BE%8E%E7%99%BD/" rel="tag"># 牙齿美白</a>
          
            <a href="/tags/%E8%AF%8A%E5%AE%A4%E7%BE%8E%E7%99%BD/" rel="tag"># 诊室美白</a>
          
            <a href="/tags/%E5%86%85%E6%BC%82%E7%99%BD/" rel="tag"># 内漂白</a>
          
            <a href="/tags/%E6%93%8D%E4%BD%9C%E6%AD%A5%E9%AA%A4/" rel="tag"># 操作步骤</a>
          
            <a href="/tags/%E5%B9%B6%E5%8F%91%E7%97%87/" rel="tag"># 并发症</a>
          
        </div>
      

      
      
      

      
        <div class="post-nav">
          <div class="post-nav-next post-nav-item">
            
              <a href="/2019/08/30/%E3%80%8A%E9%98%BB%E7%94%9F%E9%BD%BF%E7%9A%84%E7%B2%BE%E5%87%86%E5%8C%96%E5%88%87%E5%89%B2%E5%8F%8A%E6%8B%94%E9%99%A4%E6%8A%80%E5%B7%A7%E3%80%8B%E5%90%AC%E8%AF%BE%E7%AC%94%E8%AE%B0/" rel="next" title="《阻生齿的精准化切割及拔除技巧》听课笔记">
                <i class="fa fa-chevron-left"></i> 《阻生齿的精准化切割及拔除技巧》听课笔记
              </a>
            
          </div>

          <span class="post-nav-divider"></span>

          <div class="post-nav-prev post-nav-item">
            
              <a href="/2019/09/01/%E4%B8%8D%E7%94%A8%E5%86%8D%E8%A1%A5%E7%89%99%E4%BA%86%EF%BC%9F/" rel="prev" title="不用再补牙了？">
                不用再补牙了？ <i class="fa fa-chevron-right"></i>
              </a>
            
          </div>
        </div>
      

      
      
    </footer>
  </div>
  
  
  
  </article>



    <div class="post-spread">
      
    </div>
  </div>


          </div>
          


          

  
    <div class="comments" id="comments">
      <div id="lv-container" data-id="city" data-uid="MTAyMC80MTA2Mi8xNzU4Nw=="></div>
    </div>

  



        </div>
        
          
  
  <div class="sidebar-toggle">
    <div class="sidebar-toggle-line-wrap">
      <span class="sidebar-toggle-line sidebar-toggle-line-first"></span>
      <span class="sidebar-toggle-line sidebar-toggle-line-middle"></span>
      <span class="sidebar-toggle-line sidebar-toggle-line-last"></span>
    </div>
  </div>

  <aside id="sidebar" class="sidebar">
    
    <div class="sidebar-inner">

      

      

      <section class="site-overview-wrap sidebar-panel sidebar-panel-active">
        <div class="site-overview">
          <div class="site-author motion-element" itemprop="author" itemscope itemtype="http://schema.org/Person">
            
              <img class="site-author-image" itemprop="image"
                src="https://zymblog-1258069789.cos.ap-chengdu.myqcloud.com/other/tx.jpg"
                alt="" />
            
              <p class="site-author-name" itemprop="name"></p>
              <p class="site-description motion-element" itemprop="description"></p>
          </div>

          <nav class="site-state motion-element">

            
              <div class="site-state-item site-state-posts">
              
                <a href="/archives/%20%7C%7C%20archive">
              
                  <span class="site-state-item-count">452</span>
                  <span class="site-state-item-name">日志</span>
                </a>
              </div>
            

            
              
              
              <div class="site-state-item site-state-categories">
                <a href="/categories/index.html">
                  <span class="site-state-item-count">29</span>
                  <span class="site-state-item-name">分类</span>
                </a>
              </div>
            

            
              
              
              <div class="site-state-item site-state-tags">
                <a href="/tags/index.html">
                  <span class="site-state-item-count">544</span>
                  <span class="site-state-item-name">标签</span>
                </a>
              </div>
            

          </nav>

          

          

          
          

          
          

          

        </div>
      </section>

      

      

    </div>
  </aside>


        
      </div>
    </main>

    <footer id="footer" class="footer">
      <div class="footer-inner">
        <div class="copyright">&copy; <span itemprop="copyrightYear">2021</span>
  <span class="with-love">
    <i class="fa fa-user"></i>
  </span>
  <span class="author" itemprop="copyrightHolder">本站版权归赵瑜敏所有，如欲转载请与本人联系。</span>

  
    <span class="post-meta-divider">|</span>
    <span class="post-meta-item-icon">
      <i class="fa fa-area-chart"></i>
    </span>
    
      <span class="post-meta-item-text">Site words total count&#58;</span>
    
    <span title="Site words total count">1225.8k</span>
  
</div>









<div>
  <script type="text/javascript">var cnzz_protocol = (("https:" == document.location.protocol) ? " https://" : " http://");document.write(unescape("%3Cspan id='cnzz_stat_icon_1275447216'%3E%3C/span%3E%3Cscript src='" + cnzz_protocol + "s11.cnzz.com/z_stat.php%3Fid%3D1275447216%26online%3D1%26show%3Dline' type='text/javascript'%3E%3C/script%3E"));</script>
</div>

        







  <div style="display: none;">
    <script src="//s95.cnzz.com/z_stat.php?id=1275447216&web_id=1275447216" language="JavaScript"></script>
  </div>



        
      </div>
    </footer>

    
      <div class="back-to-top">
        <i class="fa fa-arrow-up"></i>
        
      </div>
    

    

  </div>

  

<script type="text/javascript">
  if (Object.prototype.toString.call(window.Promise) !== '[object Function]') {
    window.Promise = null;
  }
</script>









  












  
  
    <script type="text/javascript" src="/lib/jquery/index.js?v=2.1.3"></script>
  

  
  
    <script type="text/javascript" src="/lib/fastclick/lib/fastclick.min.js?v=1.0.6"></script>
  

  
  
    <script type="text/javascript" src="/lib/jquery_lazyload/jquery.lazyload.js?v=1.9.7"></script>
  

  
  
    <script type="text/javascript" src="/lib/velocity/velocity.min.js?v=1.2.1"></script>
  

  
  
    <script type="text/javascript" src="/lib/velocity/velocity.ui.min.js?v=1.2.1"></script>
  

  
  
    <script type="text/javascript" src="/lib/fancybox/source/jquery.fancybox.pack.js?v=2.1.5"></script>
  


  


  <script type="text/javascript" src="/js/src/utils.js?v=5.1.4"></script>

  <script type="text/javascript" src="/js/src/motion.js?v=5.1.4"></script>



  
  


  <script type="text/javascript" src="/js/src/affix.js?v=5.1.4"></script>

  <script type="text/javascript" src="/js/src/schemes/pisces.js?v=5.1.4"></script>



  
  <script type="text/javascript" src="/js/src/scrollspy.js?v=5.1.4"></script>
<script type="text/javascript" src="/js/src/post-details.js?v=5.1.4"></script>



  


  <script type="text/javascript" src="/js/src/bootstrap.js?v=5.1.4"></script>



  


  




	





  





  
    <script type="text/javascript">
      (function(d, s) {
        var j, e = d.getElementsByTagName(s)[0];
        if (typeof LivereTower === 'function') { return; }
        j = d.createElement(s);
        j.src = 'https://cdn-city.livere.com/js/embed.dist.js';
        j.async = true;
        e.parentNode.insertBefore(j, e);
      })(document, 'script');
    </script>
  












  





  

  

  

  
  

  

  

  

  
</body>
</html>
